TRACEY WYATT LPC NPI 1851530786

NPI Information

NPI: 1851530786
Provider Name: TRACEY WYATT, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
165 E DOUGHERTY ST
ATHENS, GA
ZIP 30601
Phone: (706) 542-9700
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Tracey Wyatt, LPC is a professional counselor in Athens, GA. Tracey Wyatt, LPC NPI is 1851530786. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

165 E DOUGHERTY ST
ATHENS, GA
ZIP 30601-608
Phone: (706) 542-9700
Fax: (706) 227-7249

The enumeration date for this NPI number is 2/17/2009 and was last updated on 10/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		APC001877	GEORGIA	No
2	101YP2500X	Counselor	Professional	LPC006178	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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